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psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study
November 12, 2014 - Study
Relationship between preventable hospital deaths and other measures of safety: an exploratory study.
Citation Text:
Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Int J Qual Health Care. 2014;2…
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psnet.ahrq.gov/issue/changing-dynamics-drug-overdose-epidemic-united-states-1979-through-2016
November 21, 2021 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death
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psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel
July 25, 2018 - July 25, 2018
The Life and Death of Elizabeth Dixon: A Catalyst for Change. … July 1, 2020
Government Response to the Investigation into the Death of Elizabeth Dixon
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - How health care systems let our patients down: a
systematic review into suicide deaths.
July 1, 2020
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review
into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011.
https://psnet.ah…
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psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
November 12, 2014 - Study
Classic
Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis.
Citation Text:
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…
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psnet.ahrq.gov/node/47338/psn-pdf
September 19, 2018 - families that
contribute to unmanaged pressure ulcers and sepsis that result in hospital admissions and death
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psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device
January 09, 2013 - fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death
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psnet.ahrq.gov/issue/bring-back-autopsy
September 06, 2016 - May 23, 2018
FDA begins inquiry after death and illness from saline bags meant for training … July 28, 2021
The slow, troubling death of the autopsy.
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psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
October 09, 2013 - fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death
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psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
July 08, 2015 - November 16, 2015
The absence of a drug–disease interaction alert leads to a child's death … February 24, 2016
Death due to pharmacy compounding error reinforces need for safety
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psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
June 10, 2018 - June 28, 2023
Death due to pharmacy compounding error reinforces need for safety focus … May 8, 2017
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing
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psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
September 01, 2016 - to Complications and Poor Follow-up
July 31, 2023
Lessons learned from a death … The Case of Mistaken Intubation
June 1, 2016
Inquiry into reporter's death
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psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
August 10, 2016 - April 13, 2016
View More
Related Resources
Lessons learned from a death … June 26, 2019
Death and neurological devastation from intrathecal vinca alkaloids: prepared
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - condition
• DNR language is evolving in many places
– Do Not Attempt Resuscitation [DNAR]
– Allow Natural Death … the code status order into the EHR could result in
unfortunate consequences including preventable death … Not performing surgery would leave patient in significant pain; death might be the
patient’s preference … “Allow natural death” versus “do not resuscitate”: What do
patients with advanced cancer choose? … Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the
considerations
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psnet.ahrq.gov/node/47547/psn-pdf
February 13, 2019 - Prevention of prescription opioid misuse and projected
overdose deaths in the United States.
February 13, 2019
Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected
Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621.
doi:10.1001/jamanetworkopen.2018.76…
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psnet.ahrq.gov/node/60824/psn-pdf
August 19, 2020 - For-profit long-term care homes and the risk of COVID-19
outbreaks and resident deaths.
August 19, 2020
Stall NM, Jones A, Brown KA, et al. For-profit long-term care homes and the risk of COVID-19 outbreaks
and resident deaths. CMAJ. 2020;192(33):e946-e955 . doi:10.1503/cmaj.201197.
https://psnet.ahrq.gov/issue/pr…
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psnet.ahrq.gov/node/60932/psn-pdf
January 01, 2021 - Retrospective analysis of reported suicide deaths and
attempts on Veterans Health Administration campuses
and inpatient units.
September 23, 2020
Mills PD, Soncrant C, Gunnar W. Retrospective analysis of reported suicide deaths and attempts on
Veterans Health Administration campuses and inpatient units. BMJ Qual S…
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psnet.ahrq.gov/node/867144/psn-pdf
November 13, 2024 - Life of the Mother. How Abortion Bans Lead to
Preventable Deaths.
November 13, 2024
Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths.
ProPublica. 2024:September - November 2024.
https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deat…
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psnet.ahrq.gov/node/850913/psn-pdf
June 21, 2023 - Understanding ultrarare adverse events - lessons learned
from a twelve-year review of intraoperative deaths at an
academic medical center.
June 21, 2023
Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a
twelve-year review of intraoperative deaths at an academic med…
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psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - A spike in people dying at home suggests coronavirus
deaths in Houston may be higher than reported.
July 22, 2020
Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may
be higher than reported. ProPublica and NBC News. 2020;July 8.
https://psnet.ahrq.gov/issue/spike-pe…